Organization Determination
Medicare Glossary
A decision made by your Medicare Advantage plan about whether a service, item, or prescription drug is covered and how much you will pay. If you disagree with the determination, you have the right to appeal.
This content is for educational purposes only and does not constitute a recommendation of any specific Medicare plan. Benefits, costs, and availability vary by plan and location. For complete information about your Medicare options, visit Medicare.gov or call 1-800-MEDICARE (1-800-633-4227), TTY: 1-877-486-2048, available 24 hours a day, 7 days a week.